{include file="public/header"/}
{include file="public/navleft"}
<div class="tpl-content-wrapper" xmlns="http://www.w3.org/1999/html">
    <div class="tpl-content-page-title">
        报告列表
    </div>
    <ol class="am-breadcrumb">
        <li><a href="{:url('report/index')}" class="am-icon-home">首页</a></li>
        <li><a href="{:url('report/index')}">Tct报告列表</a></li>
        <li class="am-active">Tct报告查询</li>
    </ol>
    {volist name="data" id = "vo" length='1'}
    <form class="am-form am-form-horizontal" method="post" action="{:url('report/ReportTctEditinfo')}">
        <div class="am-container" >
            <div class="am-g">
                <div class="am-u-sm-6" >
                    <label for="doc-ipt-3-1" class="am-u-sm-4 am-form-label">Tct编号</label>
                    <div class="am-u-sm-8" >
                        <input type="text" class="am-form-field am-radius" name = "Xbblxh" placeholder="" value="{$vo.Xbblxh}"/>
                    </div>
                </div>

                <div class="am-u-sm-6" >
                    <label for="doc-ipt-3-1" class="am-u-sm-4 am-form-label">送检姓名</label>
                    <div class="am-u-sm-8" >
                        <input type="text" class="am-form-field am-radius" name = "Brxm" placeholder="" value="{$vo.Brxm}"/>
                        <input type="hidden" name = "Ybid" value="{$vo.Ybid}"/>
                    </div>
                </div>
                <div class="am-u-sm-6" >
                    <label for="doc-ipt-3-1" class="am-u-sm-4 am-form-label">性别</label>
                    <div class="am-u-sm-8" >
                        <input type="text" class="am-form-field am-radius"  name = "Brsex" placeholder="" value="{$vo.Brsex|ShowXB}"/>
                    </div>
                </div>

                <div class="am-u-sm-6" >

                    <label for="doc-ipt-3-1" class="am-u-sm-4 am-form-label">年龄</label>
                    <div class="am-u-sm-8" >
                        <input type="text" class="am-form-field am-radius" placeholder=""  name = "Brage"value="{$vo.Brage}"/>
                    </div>
                </div>

                <div class="am-u-sm-6" >
                    <label for="doc-ipt-3-1" class="am-u-sm-4 am-form-label">科室/病区</label>
                    <div class="am-u-sm-8" >
                        <input type="text" class="am-form-field am-radius" name = "Sjks" placeholder="" value="{$vo.Sjks}"/>
                    </div>
                </div>


                <div class="am-u-sm-6" >
                    <label for="doc-ipt-3-1" class="am-u-sm-4 am-form-label">送检客户</label>
                    <div class="am-u-sm-8" >
                        <input type="text" class="am-form-field am-radius" name = "Sjhospital" placeholder="" value="{$vo.Sjhospital}"/>
                    </div>
                </div>

                <div class="am-u-sm-6" >

                    <label for="doc-ipt-3-1" class="am-u-sm-4 am-form-label">接受时间</label>
                    <div class="am-u-sm-8" >
                        <input type="text" class="am-form-field am-radius" name = "Jstime" placeholder="" value="{$vo.Jstime}"/>
                    </div>
                </div>


                <div class="am-u-sm-6" >
                    <label class="am-u-sm-4 am-form-label" for="doc-ipt-3-1">报告时间</label>
                    <div class="am-u-sm-8" >
                        <input class="am-form-field am-radius" name="Bgtime" placeholder="" type="text"
                               value="{$vo.Bgtime}"/>
                    </div>
                </div>

                <div class="am-u-sm-6" >
                    <label for="doc-ipt-3-1" class="am-u-sm-4 am-form-label">医院条码</label>
                    <div class="am-u-sm-8" >
                        <input type="text" class="am-form-field am-radius" name = "yytm" placeholder=""value="{$vo.yytm}" />
                    </div>
                </div>

                <div class="am-u-sm-6" >


                    <label for="doc-ipt-3-1" class="am-u-sm-4 am-form-label">检验者</label>
                    <div class="am-u-sm-8" >
                        <input type="text" class="am-form-field am-radius"  name = "Zddoctor" placeholder=""  value="{$vo.Zddoctor}"/>
                    </div>
                </div>

                <div class="am-u-sm-6" >
                    <label for="doc-ipt-3-1" class="am-u-sm-4 am-form-label">审核者</label>
                    <div class="am-u-sm-8" >
                        <input type="text" class="am-form-field am-radius"  name = "shr" placeholder="" value="{$vo.shr}" />
                    </div>
                </div>

                <div class="am-u-sm-6" >
                    <label for="doc-ipt-3-1" class="am-u-sm-4 am-form-label">门诊/住院号</label>
                    <div class="am-u-sm-8" >
                        <input type="text" class="am-form-field am-radius" name = "Bqh" placeholder=""value="{$vo.Bqh}" />
                    </div>
                </div>

                <div class="am-u-sm-6" >
                    <label for="doc-ipt-3-1" class="am-u-sm-4 am-form-label">bz</label>
                    <div class="am-u-sm-8" >
                        <input type="text" class="am-form-field am-radius"  name = "bz" placeholder="" value="{$vo.bz}"  />
                    </div>
                </div>

                <div class="am-u-sm-6" >
                    <label for="doc-ipt-3-1" class="am-u-sm-4 am-form-label">是否审核(issh)</label>
                    <div class="am-u-sm-8" >
                        <input type="text" class="am-form-field am-radius" name = "issh" placeholder="" value="{$vo.issh}"/>
                    </div>
                </div>


                <div class="am-u-sm-6" >
                    <label for="doc-ipt-3-1" class="am-u-sm-4 am-form-label">是否tct导入(isout)</label>
                    <div class="am-u-sm-8" >
                        <input type="text" class="am-form-field am-radius" name = "issh" placeholder="" value="{$vo.issh}"/>
                    </div>
                </div>

                <div class="am-u-sm-6" >
                    <label for="doc-ipt-3-1" class="am-u-sm-4 am-form-label">Ybid</label>
                    <div class="am-u-sm-8" >
                        <input type="text" class="am-form-field am-radius" name = "Ybid" placeholder="" value="{$vo.Ybid}"/>
                    </div>
                </div>

                <div class="am-u-sm-6" >
                    <label for="doc-ipt-3-1" class="am-u-sm-4 am-form-label">判读意见/结果</label>
                    <div class="am-u-sm-8" >
                        <input type="text" class="am-form-field am-radius" name = "Xbblxzd" placeholder="" value="{$vo.Xbblxzd}"/>
                    </div>
                </div>

                <div class="am-u-sm-6">
                    <label class="am-u-sm-4 am-form-label" for="doc-ipt-3-1">Lczd</label>
                    <div class="am-u-sm-8">
                        <input class="am-form-field am-radius" name="lczd" placeholder="" type="text"
                               value="{$vo.lczd}"/>
                    </div>
                </div>
                <div class="am-u-sm-11"></br></br></div>
                <div class="am-u-sm-11">
               <button type="submit" class="am-btn am-btn-primary am-btn-block">确认修改/重新生成</button>
                </div>
        </div>
    </form>
    {/volist}






    {include file="public/footer"/}

